Development of geriatric syndromes after taking countermeasures for polypharmacy: an overlooked issue of quitting semiregular single-dose medicine
Development of geriatric syndromes after taking countermeasures for polypharmacy: an overlooked issue of quitting semiregular single-dose medicine
复制标题
采取多重用药对策后老年综合征的发展：戒断半常规单剂量药物的一个被忽视的问题
DOI：
10.1093/omcr/omz047
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发表时间：
2019
影响因子：
0.5
通讯作者：
Arai Hiroyuki
中科院分区：
文献类型：
--
作者：
Tomita Naoki;Ishiki Aiko;Okinaga Shoji;Furukawa Katsutoshi;Arai Hiroyuki
我们报告一位服用多药的老年妇女，因停用一种半正规的单剂量药物而出现食欲减退、全身疲劳和肌肉无力，主要是由于继发性肾上腺功能不全所致。由于功能不全的程度较轻，她的症状在一段时间后在没有额外治疗的情况下消失了。本案例包括与老年患者用药管理相关的重要经验教训。此外，本病例还警告我们，在诊断作为生理性衰老过程或其他疾病症状的一部分的老年综合征时要谨慎。戒除半正规用药所致的老年综合征应在未来的研究中进行调查。
We report a case of an elderly woman on polypharmacy who developed appetite loss, general fatigue and muscle weakness mainly from secondary adrenal insufficiency caused by quitting one semiregular single-dose medicine. Because the degree of insufficiency was mild, her symptoms were eliminated after some time without additional treatment. The present case includes important lessons related to medication management in elderly patients. Additionally, the present case also warns us to be cautious while diagnosing geriatric syndromes as a part of the physiological aging process or additional disease symptoms. Drug-induced geriatric syndrome from quitting semiregular-use drugs should be investigated in future studies.